Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › WEST DES MOINES › EYEMART EXPRESS LLC

EYEMART EXPRESS LLC

NPI: 1538711775 · WEST DES MOINES, IA 50266 · Eyewear Supplier · NPI assigned 07/09/2019

$21K
Total Medicaid Paid
1,151
Total Claims
1,069
Beneficiaries
2
Codes Billed
2021-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLUSKIN, RIMMA (CREDENTIALING MANAGER)
Parent OrganizationEYEMART EXPRESS LLC
NPI Enumeration Date07/09/2019

Related Entities

Other providers sharing the same authorized official: LUSKIN, RIMMA

ProviderCityStateTotal Paid
EYEMART EXPRESS LLC STILLWATER OK $31K
EYEMART EXPRESS LLC SELMA TX $13K
EYEMART EXPRESS LLC PELLA IA $9K
EYEMART EXPRESS LLC AMES IA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 162 $4K
2022 284 $6K
2023 403 $5K
2024 302 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 811 764 $16K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 340 305 $5K